Aim: To compare the analgesic effects of caudal block using 1ml/kg of 0.25% bupivacine to a combination of local infiltration with 0.5ml/kg of 0.25% bupivacaine with rectal diclofenac suppository 2mg/kg in the management of postoperative pain following below umbilical surgeries in pediatric patients of age group 2-7 years.

Materials and Methods: 100 patients belonging to both sexes, aged between 2-7 years, with ASA Status I, II who were posted for below umbilical surgeries under general anaesthesia were included in the study The patients were randomly allocated into two groups. Group A : Patients received caudal block with 1ml/kg of 0.25% Bupivacaine Group B : Patients received local wound infiltration with 0.25% Bupivacaine 0.5ml/kg and rectal diclofenac suppository 2mg/kg .

Observation and Results: The pain scores, total duration of analgesia, number of rescue analgesics required, time for micturition and postoperative complications,if any were compared in both the groups.

Conclusion: We conclude that both caudal block and local infiltration with reactal diclofenac suppository are equ ally effective for postoperative analgesia in below umbilical surgeries.